Resources
To support State Medicaid agencies, LEAs, and school-based entities in providing and improving the delivery of covered Medicaid and Children’s Health Insurance Program (CHIP) services to enrolled students in school-based settings, the TAC has developed the following resources.
Understanding Cost Pools Job Aid
This resource was developed for LEAs to provide a high-level understanding of what cost pools are, examples of cost pools, and how an LEA would use them.
Downloads
How to Answer RMTS Job Aid
This resource was developed for LEAs to provide an explanation of the basic requirements of a time study, how school staff are notified of their participation, and best practices for answering a moment.
Downloads
Reimbursement for Specialized Transportation within Medicaid SBS
This resource was developed for SMAs, SEAs, and LEAs to outline CMS’s policy for reimbursement of specialized school-based transportation and highlight policy expressed in previous guidance.
Downloads
Medicaid SBS Federal Documentation Requirements for LEAs
This resource was developed for LEAs to outline CMS and ED’s documentation requirements to help LEAs streamline documentation for medical service claims, cost reporting, and time studies, and comply with Federal regulations during an audit.
Downloads
Considerations for Developing a Time Study Implementation Plan (TSIP)
This resource was developed for SMAs and SEAs to provide considerations for elements that should be included in a TSIP to initiate SBS claiming, including treatment of the summer period, creation of the participant list, and training participants.
Downloads
Readiness Checklist
This tool was developed for SMAs in order to help 1) draft an SBS SPA; (2) adopt certain flexibilities described in the 2023 CIB and Comprehensive Guide; (3) assess whether the State Plan reflects a payment methodology in compliance with the Comprehensive Guide; (4) prepare additional documents, such as a Time Study Implementation Plan or Interagency Agreement for Medicaid Administrative Claiming, and (5) discuss plans for SBS with CMS and across State agencies.